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Other Upper Extremity Prosthesis

Michigan rates for HCPCS L7499

Upper extremity prosthesis, not otherwise specified

Rates data updated October 2026.

How much does Other Upper Extremity Prosthesis cost?

$8,318

Typical facility fee. In Michigan, October 2026.

Insurers have agreed to pay about $8,318 for this service. Most negotiated rates run $4,365 to $12,303.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10,000 · 10th to 90th $5,012 to $19,055Professionalmedian $3,548 · 10th to 90th $3,548 to $3,548
$5K$10K$20Kfacility $10,000professional $3,548

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$10,000.00
Typical High
$19,054.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Priority Health
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13

Where Michigan sits

The same service costs 275.4 times more in Michigan than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 1st of 51

$8,318

MI $8,318SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.